| NPI | 1780639500 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: UT 7752036-1205) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CO 44477) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: UT 7752036-1205) | |
| 207RI0011X Internal Medicine, Interventional Cardiology (Licence: CO 44477) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2022-08-17 |